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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 397002740
Report Date: 12/09/2022
Date Signed: 12/09/2022 12:19:29 PM


Document Has Been Signed on 12/09/2022 12:19 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833



FACILITY NAME:SUNRISE HOMESFACILITY NUMBER:
397002740
ADMINISTRATOR:ELIZABETH ABESAFACILITY TYPE:
740
ADDRESS:8100 S. BRIGHT ROADTELEPHONE:
(209) 234-2550
CITY:FRENCH CAMPSTATE: CAZIP CODE:
95231
CAPACITY:15CENSUS: 11DATE:
12/09/2022
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Elizabeth AbesaTIME COMPLETED:
12:30 PM
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On 12/9/22 at 10:40am, Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a quarterly visit/health and safety check. LPA Jensen met with Licensee Elizabeth Abesa and explained the purpose of today's visit.

The facility does not handle P&I funds. The facility does however assist with check cashing. The facility maintains a check cashing register for all residents. The register lists the check date, the check number, a description of what the check was issued for, the check amount, the date disbursed and resident signature.
LPA Jensen reviewed the check register for resident 1 through resident 4 and determined that the entries reflected an accurate accounting.

LPA Jensen toured the facility including grounds and facility interior. The facility was observed to be sanitary and free of odor. The water temperature was measured at 108 degrees which falls within the regulatory requirement of 105-120 degrees. The thermostat was set at 72 degrees for the comfort of the residents. LPA Jensen observed in excess of a 2 day supply of perishable food and a 7 day supply of non-perishable food.
There are 8 resident bedrooms of which 7 are double occupancy and one is single occupancy. Resident bedrooms were observed to be furnished with dresser, night stand, lamp and chair for each resident.

All paths on the grounds were observed to be free of obstruction and the grounds were observed to be free of debris.

No deficiencies were cited as a result of this visit. An exit interview was conducted and a copy of this report was provided.


SUPERVISOR'S NAME: Liza KingTELEPHONE: (916) 263-4752
LICENSING EVALUATOR NAME: Maja JensenTELEPHONE: 916-639-5584
LICENSING EVALUATOR SIGNATURE:
DATE: 12/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/09/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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